Provider Demographics
NPI:1851880421
Name:MILORD, DORA (ARNP)
Entity Type:Individual
Prefix:
First Name:DORA
Middle Name:
Last Name:MILORD
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:DORA
Other - Middle Name:M
Other - Last Name:LIMEXANT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5924 ITHACA CIR W
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33463-1518
Mailing Address - Country:US
Mailing Address - Phone:561-247-4319
Mailing Address - Fax:
Practice Address - Street 1:1250 E ALMOND AVE
Practice Address - Street 2:
Practice Address - City:MADERA
Practice Address - State:CA
Practice Address - Zip Code:93637-5606
Practice Address - Country:US
Practice Address - Phone:559-675-5512
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-08
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95011010363LF0000X
FL9279169363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily